| Mindspring Emdr, Pllc | |
|
11 N Northwest Hwy Ste 126 Park Ridge IL 60068-3444 | |
| (847) 780-6575 | |
| Not Available |
| Full Name | Mindspring Emdr, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11 N Northwest Hwy Ste 126, Park Ridge, Illinois |
| Authorized Official Name and Position | Tonya S Nowlin (CLINICAL THERAPIST) |
| Authorized Official Contact | 8477806575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspring Emdr, Pllc 11 N Northwest Hwy Ste 126 Park Ridge IL 60068-3444 Ph: (847) 780-6575 | Mindspring Emdr, Pllc 11 N Northwest Hwy Ste 126 Park Ridge IL 60068-3444 Ph: (847) 780-6575 |
| NPI Number | 1699548198 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699548198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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